Koj tuaj yeem raug kev txom nyem los ntawm kev mob caj dab hu ua gout yog tias koj tau hnov mob hnyav thiab ua rau mob hnyav. Gout tuaj yeem tshwm sim los ntawm qib siab ntawm uric acid. Uric acid yog cov khoom siv sib xyaw ua ke uas ib txwm lim los ntawm ob lub raum, thiab tawm ntawm lub cev los ntawm cov zis. Txawm li cas los xij, uric acid muaju tuaj yeem tsim thiab ua rau mob gout yog tias qib siab hauv lub cev. Qhov no yog qhov laj thawj nws yog ib qho tseem ceeb kom txo qis qib uric acid thiab yaj nws cov muaju. Koj tuaj yeem ua qhov no los ntawm kev noj tshuaj, hloov koj cov zaub mov noj, thiab tawm dag zog. Nws tsuas yog qhov ntawd, tham nrog koj tus kws kho mob ua ntej hloov koj cov zaub mov lossis siv tshuaj.
Kauj ruam
Ntu 1 ntawm 2: Siv Tshuaj
Kauj Ruam 1. Paub txog qhov muaj feem yuav mob gout
Yog tias koj muaj tus kab mob gout, uas yog ib hom mob caj dab los ntawm qib siab ntawm uric acid, muaju tuaj yeem tsim hauv cov kua sib koom ua ke. Txawm hais tias txiv neej muaj kev pheej hmoo ntau dua, tus kab mob no tuaj yeem cuam tshuam rau leej twg. Tsis muaj leej twg paub qhov tseeb ua rau mob gout, tab sis qee qhov muaj feem cuam tshuam nrog kev noj nqaij ntau thiab nqaij nruab deg, rog rog, kab mob ntev xws li ntshav siab, ntshav qab zib, tsev neeg keeb kwm ntawm gout, lossis siv qee yam tshuaj.
Gout ua rau mob thiab ua rau mob sib koom (feem ntau yog hmo ntuj), uas yog nrog liab, o, sov, thiab mob pob qij txha. Qhov tsis xis nyob tom qab yuav nyob ntev li ob peb hnub mus rau ntau lub asthiv, thiab tuaj yeem nce mus rau mob gout ntev, uas ua rau muaj teeb meem txav mus los
Kauj Ruam 2. Mus ntsib kws kho mob
Yog tias koj muaj tus kab mob gout ntev, muaj mob gout nquag thiab mob, tham nrog koj tus kws kho mob txog kev pib noj tshuaj. Koj tus kws kho mob tuaj yeem ua ntau qhov kev ntsuas sib txawv txhawm rau kuaj mob gout, suav nrog ntsuas qib uric acid hauv koj cov ntshav, kuaj cov kua synovial (siv cov qauv kua los ntawm koj cov pob qij txha), lossis kuaj ultrasound thiab CT scan txhawm rau kuaj cov kua qaub kua qaub. Los ntawm cov txiaj ntsig ntawm kev tshuaj xyuas, tus kws kho mob yuav txiav txim siab kev tswj hwm thiab xaiv cov tshuaj rau koj.
Koj tus kws kho mob yuav sau ntawv xanthine oxidase inhibitors, tshuaj uricosuric, thiab tsis tshua siv tshuaj xws li colchicine
Kauj Ruam 3. Siv xanthine oxidase inhibitor chav kawm ntawm cov tshuaj
Cov tshuaj no ua haujlwm los txo qis cov kua qaub hauv lub cev, yog li ua rau nws cov qib qis hauv cov ntshav. Cov kws kho mob feem ntau yuav sau cov tshuaj no ua thawj qhov kev kho mob gout ntev. Xanthine oxidase inhibitors suav nrog allopurinol (Aloprim, Zyloprim) thiab febuxostat (Uloric). Thaum nws yuav pib ua rau muaj kev tawm tsam gout nce ntxiv, nws yuav tiv thaiv nws thaum kawg.
- Cov kev mob tshwm sim ntawm allopurinol suav nrog raws plab, tsaug zog, tawv nqaij tawv, thiab suav ntshav tsawg. Nco ntsoov haus tsawg kawg 8 khob dej thaum siv allopurinol.
- Cov kev mob tshwm sim ntawm febuxostat suav nrog ua pob, xeev siab, mob sib koom, thiab txo qis kev ua haujlwm ntawm lub siab.
Kauj Ruam 4. Sim tshuaj uricosuric
Cov tshuaj hauv chav kawm no yuav pab tshem tawm cov kua qaub hauv lub cev los ntawm cov zis. Cov tshuaj Uricosuric yuav tiv thaiv kom rov nqus tau cov kua qaub uric acid rov qab los rau hauv cov ntshav, yog li nws tuaj yeem txo qis cov qib uric acid hauv lawv. Cov tshuaj probenecid tej zaum yuav tau sau ntawv, tab sis nws tsis pom zoo siv yog tias koj muaj teeb meem hauv lub raum. Pib los ntawm kev noj 250 mg tshuaj txhua 12 teev rau thawj lub lim tiam. Tus kws kho mob tuaj yeem nce qhov koob tshuaj rau lub sijhawm, tab sis tsis ntau tshaj 2 grams.
Cov kev mob tshwm sim ntawm probenecid suav nrog ua pob, mob plab, mob raum, mob taub hau, thiab kiv taub hau. Txhawm rau tiv thaiv lub raum pob zeb, koj yuav tsum haus tsawg kawg 6-8 khob dej txhua hnub thaum siv cov tshuaj probenecid
Kauj Ruam 5. Zam qee yam tshuaj
Qee cov tshuaj, xws li thiazide diuretics (hydrochlorthiazide), thiab cov tshuaj diuretics muaj zog (xws li furosemide lossis Lasix) yuav tsum zam, vim lawv tuaj yeem ua rau koj mob hnyav. Koj kuj yuav tsum zam qhov tshuaj aspirin qis thiab niacin, vim tias lawv tuaj yeem nce qib uric acid.
Tsis txhob tsum siv cov tshuaj yam tsis tham nrog koj tus kws kho mob. Muaj ntau zaus, muaj lwm yam tshuaj uas tuaj yeem hloov pauv tau
Ntu 2 ntawm 2: Hloov Koj Cov Khoom Noj
Kauj Ruam 1. Ua lub neej noj qab haus huv thiab noj zaub mov zoo
Sim ua raws li kev noj zaub mov uas muaj fiber ntau thiab muaj protein ntau noj qab nyob zoo. Cov zaub mov nplua nuj nyob hauv cov fiber ntau tuaj yeem pab yaj uric acid muaju. Cov tshuaj fiber ntau tuaj yeem nqus tau cov nplais los ntawm cov pob qij txha thiab pab tshem lawv tawm ntawm ob lub raum. Koj yuav tsum tsis txhob muaj cov rog xws li cheese, butter, thiab margarine. Txo koj cov piam thaj, suav nrog cov fructose cov pob kws phoov thiab cov dej qab zib, vim tias ob qho tib si tuaj yeem ua rau muaj mob gout. Sim suav nrog cov zaub mov hauv qab no:
- Oats
- Zaub ntsuab
- Broccoli
- raspberry
- Cov zaub mov tag nrho
- Mov txhuv
- Dub taum
- Cherries (cherries tuaj yeem txo qhov mob gout). Ib txoj kev tshawb nrhiav pom tias noj 10 txiv ntoo txhua hnub tuaj yeem tiv thaiv kev mob gout.)
- Cov rog tsawg lossis cov rog tsis muaj rog
Kauj Ruam 2. Tsis txhob noj zaub mov uas tuaj yeem ua rau kom muaj cov kua qaub ntau ntxiv
Ntuj sib xyaw hauv cov zaub mov hu ua purines tau hloov pauv mus rau hauv uric acid hauv lub cev. Kev tshawb fawb qhia pom tias noj cov zaub mov nplua nuj nyob hauv purine tuaj yeem ua rau mob gout ob peb hnub tom qab. Tsis txhob noj cov khoom noj uas muaj purine, uas yog:
- Nqaij: nqaij liab thiab nqaij tawv (ob lub raum, siab, thiab qog nqaij hlav qog)
- Nqaij ntses: tuna, cw, cw, qwj nplais, anchovies, herring, sardines, scallops, mackerel, haddock.
Kauj Ruam 3. Saib xyuas koj cov dej kom txaus
Kev haus dej 6-8 khob dej txhua hnub tau pom tias txo cov kab mob gout. Lwm cov kua dej feem ntau suav nrog hauv cov dej haus pom zoo, tab sis nws yog qhov zoo dua kom nce cov dej. Koj yuav tsum txo lossis tso tseg haus cov dej cawv vim tias lawv tuaj yeem zom cov zaub mov thiab nce qib uric acid. Yog tias koj xav haus cov kua uas tsis yog dej, saib cov dej qab zib uas muaj qab zib tsawg, cov kua txiv hmab txiv ntoo uas muaj fructose siab, lossis caffeinated. Qab zib tuaj yeem ua rau muaj kev pheej hmoo ntawm gout, thaum caffeine tuaj yeem ua rau lub cev qhuav dej.
Koj tseem tuaj yeem haus kas fes hauv qhov nruab nrab (2-3 khob ib hnub). Txawm hais tias tsis tuaj yeem txo qhov kev tawm tsam gout, qee qhov kev tshawb fawb qhia tias kas fes tuaj yeem txo cov qib uric acid hauv cov ntshav
Kauj Ruam 4. Ua kom koj cov vitamin C txaus
Txawm hais tias nws tsis tuaj yeem txo qhov mob gout, qee qhov kev tshawb fawb pom tias vitamin C tuaj yeem txo qis cov kua qaub hauv cov ntshav. Vitamin C tau xav tias tuaj yeem pab lub raum kom tshem tawm cov kua qaub uric. Txiav txim siab noj 500 mg ntawm cov tshuaj vitamin C txhua hnub tom qab sab laj nrog koj tus kws kho mob. Yog tias koj xav ua kom koj cov vitamin C ntau ntxiv los ntawm zaub mov, sim noj:
- Txiv hmab txiv ntoo: txiv kab ntxwv txiv kab ntxwv, txiv kab ntxwv, kiwi, txiv nkhaus taw, txiv tsawb, txiv puv luj, txiv pos nphuab, txiv pos nphuab, blueberry, cranberry, txiv kab ntxwv
- Zaub: zaub paj zaub, zaub qhwv zaub, zaub paj zaub, zaub ntsuab thiab kua txob liab, zaub ntsuab, zaub qhwv, zaub qhwv, zaub paj liab, qos yaj ywm, txiv lws suav, thiab taub
- Ntxiv cov cereals nrog vitamin C.
Kauj Ruam 5. Qoj ib ce
Sim ua kom qoj ib ce tsawg kawg 30 feeb txhua hnub. Ib txoj kev tshawb nrhiav pom tias kev tawm dag zog 150 feeb hauv ib lub lis piam tuaj yeem txo qis uric acid. Kev tawm dag zog kuj tseem tuaj yeem txo koj txoj kev pheej hmoo mob plawv thiab pab koj poob phaus. Kev poob phaus tau paub tias cuam tshuam nrog txo qib uric acid.
Txawm tias me me, kev tawm dag zog lub cev tau paub tias cuam tshuam nrog kev txo qis hauv cov qib uric acid. Piv txwv li, koj tuaj yeem dhia rau 30 feeb, lossis taug kev so yam tsawg 15 feeb
Lub tswv yim
- Cov qib uric acid yuav tsis tas li cuam tshuam nrog gout. Qee tus neeg muaj qib uric acid ntau, tab sis tsis raug kev txom nyem los ntawm gout, thiab hloov pauv.
- Tam sim no, tsis muaj pov thawj tshawb fawb pom zoo los qhia tias kev siv tshuaj kho mob hauv tsev lossis tshuaj ntsuab zoo (dab ntxwg nyoog claw) muaj kev nyab xeeb thiab muaj txiaj ntsig zoo rau kev mob gout.
